Purpose: Effective vaccination is now available to prevent human papillomavirus (HPV), the most common sexually transmitted infection and cause of cervical cancer. This study aimed to estimate the prevalence of HPV vaccination intentions among mothers of daughters with and without a history of childhood cancer, and young adult female cancer survivors, in addition to identifying the factors associated with HPV vaccination intentions.
Methods: Maternal caregivers of vaccine naïve females aged 9-17 years with/without a history of childhood cancer (n = 155; daughter Mage = 12.70 years, SD = 2.65; n = 46; daughter Mage = 12.41 years, SD = 2.30, respectively) in addition to young adult vaccine naïve females aged 18-26 with/without a history of childhood cancer (n = 70; Mage = 21.6 years, SD = 2.68; n = 53; Mage = 20.7 years, SD = 2.45, respectively ) completed surveys querying HPV vaccination intentions along with
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Among young adult vaccine naïve female cancer survivors aged 18-26, 58.8% had low intentions and 41.2% had high intentions to get vaccinated. Univariate analyses indicated no differences between cancer/no cancer groups on considered risk factors. Among all participants, multivariate logistic regression analyses found vaccine intentions were associated with household income, expected future sexual activity, health beliefs, social influences, race/ethnicity, HPV knowledge, and physician recommendation, while increased perceived barriers associated with a decreased likelihood of initiation (all Ps < .05). Among those having initiated, risk factors for low intentions included barriers to vaccination and having HPV knowledge (all Ps <